Appendix
Characteristics of Primary Care Described in the First IOM Report (IOM 1978)
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Accessibility of services includes availability (e.g., round-the-clock coverage, response to requests for urgent care) and attainability (e.g., physical, economic, psychological, and social aspects of services).
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Comprehensiveness of services reflects the willingness and ability to handle the great majority of problems in the population served, including adults and children. It entails
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Preventive services,
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Care in a variety of settings (e.g., hospital, chronic care unit, or home),
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Differentiation of primary care from specialty care, and
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Differentiation of primary care from care provided by other professionals (e.g., optometrists, podiatrists, and dentists).
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Coordination of services involves
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Care given by other clinicians including specialists, and
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The inclusion of patients and their families in decisions regarding plans of care, financial capabilities, and personal desires.
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Continuity of services (a characteristic that cannot exist without the first three attributes listed above) involves record continuity and provider continuity.
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